Are we prepared against Ebola?

Nearly 932 people have already died in West Africa since the Ebola outbreak about six months ago. As of now, four countries in particular- Liberia, Sierra Leone, Guinea, and Nigeria- have been hit hard by the virus, and a some citizens of USA, Saudi Arabia, and Spain are also inflicted (International Business Times). There is no reason to believe that the virus won’t travel to South Asia and Nepal eventually.

According to WHO, Ebola transmits through close contact with the blood or other bodily fluids. It is believed to have inflicted human via infected animals (monkeys, chimpanzees etc.). Ebola has the case fatality rate of 90%. Initial symptoms of the disease are fever, weakness, headache followed by diarrhea, vomiting, etc. eventually leading to liver and kidney failure. Someone infected with Ebola virus may take 2-21 days to show up the symptoms (WHO).

Times of India recently reported that there are nearly 45,000 Indians living in Ebola affected countries (Times of India). If the virus outbreak persists and increases further, many of them may return back to India. Already a certain number of Indians working in Liberia are planning to return back to India. As such Indian government has planned various precautionary measures such as airport screening, self-disclosure upon arrival, airport health facilities in the key airports where people from Africa likely come in.

Small number of Nepalese are currently living in the Ebola affected countries in West Africa mainly for the UN peace-keeping work. So far there is no record of any Nepali citizen being affected by the virus (The Himalayan Times). As much as this is a good news, it is equally important for the government to be prepared in case if the unexpected happens. Beside, given a large number of Indian populations living in West Africa, and their frequent travel between India and African countries, the possibility of Ebola coming to India and subsequently to Nepal cannot be avoided altogether.

It is a high time that the Ministry of Health (MoH) alerts all of its health systems to pay especial attention to any potential Ebola outbreak. Arrangements also need to be made at the airport and other immigration points to monitor health of the foreigners and Nepalese entering to Nepal, particularly those coming from Africa. But most of all, MoH should proactively initiate discussions on Ebola prevention and control with other relevant line ministries and departments as appropriate, and swiftly develop an appropriate strategy and implement it in order to systematically deal with the potential outbreak of the virus in Nepal.